| Nyortiz, Llc | |
|
Calle Janele D15 Urb. Andrea's Court Trujillo Alto PR 00976 | |
| (787) 408-4092 | |
| Not Available |
| Full Name | Nyortiz, Llc |
|---|---|
| Speciality | Psychologist |
| Location | Calle Janele D15, Trujillo Alto, Puerto Rico |
| Authorized Official Name and Position | Nyrma Y Ortiz-vargas (PRESIDENT) |
| Authorized Official Contact | 7874084092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyortiz, Llc 370 Urb. Andrea's Court Calle 10 Apt 79 Trujillo Alto PR 00976 Ph: (787) 408-4092 | Nyortiz, Llc Calle Janele D15 Urb. Andrea's Court Trujillo Alto PR 00976 Ph: (787) 408-4092 |
| NPI Number | 1720825888 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/05/2024 |
| Medicare PECOS PAC ID | 7416495601 |
|---|---|
| Medicare Enrollment ID | O20240819004309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720825888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nyrma Y Ortiz-vargas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295069250 PECOS PAC ID: 0547394181 Enrollment ID: I20100817001571 |
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